MIAMI VALLEY HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MIAMI VALLEY HOSPITAL (EIN 31-0537504)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-12
IRS object ID: 201323169349305182
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-12T16:17:21-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIR 2600	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	310537504	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Miami Valley Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% J MICHAEL SIMS	InCareOfName
Name Control	MIAM	NameControl
Phone	9374999942	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 N MAIN ST	AddressLine1
Address Line2	Suite 500	AddressLine2
City	Dayton	City
State	OH	State
ZIP Code	45402	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SCOTT A SHELTON	Name
Title	VP & CFO	Title
Phone	9374999942	Phone
Date Signed	2013-11-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Bobbie Gerhart	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	110 N MAIN ST SUITE 500	AddressLine1
City	DAYTON	City
State	OH	State
ZIP Code	45402	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1606310949	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PREMIERHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1890	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	MIAMI VALLEY HOSPITAL WILL BUILD HEALTHIER COMMUNITIES WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	7622	TotalNbrEmployees
Total Nbr Volunteers	967	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	1299919	ContributionsGrantsPriorYear
Contributions Grants Current Year	2675858	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	811320920	ProgramServiceRevenuePriorYear
Program Service Revenue CY	835144825	ProgramServiceRevenueCY
Investment Income Prior Year	12174810	InvestmentIncomePriorYear
Investment Income Current Year	27250377	InvestmentIncomeCurrentYear
Other Revenue Prior Year	14005077	OtherRevenuePriorYear
Other Revenue Current Year	17225886	OtherRevenueCurrentYear
Total Revenue Prior Year	838800726	TotalRevenuePriorYear
Total Revenue Current Year	882296946	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	9198113	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5913883	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	369823871	SalariesEtcPriorYear
Salaries Etc Current Year	384995078	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	406178191	OtherExpensePriorYear
Other Expenses Current Year	419188073	OtherExpensesCurrentYear
Total Expenses Prior Year	785200175	TotalExpensesPriorYear
Total Expenses Current Year	810097034	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	53600551	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	72199912	RevenuesLessExpensesCY
Total Assets BOY	1359305439	TotalAssetsBOY
Total Assets EOY	1384625214	TotalAssetsEOY
Total Liabilities BOY	737842571	TotalLiabilitiesBOY
Total Liabilities EOY	771936176	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	621462868	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	612689038	NetAssetsOrFundBalancesEOY
Mission Description	MIAMI VALLEY HOSPITAL WILL BUILD HEALTHIER COMMUNITIES WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	704537261	Expense
Grants	5913883	Grants
Revenue	835144825	Revenue
Description	PLEASE REFER TO SCHEDULE H.	Description
Total Program Service Expense	704537261	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	455	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	7622	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	J MICHAEL SIMS	NamePerson
Telephone Number	9374999942	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	110 N MAIN ST SUITE 500	AddressLine1
City	Dayton	City
State	OH	State
ZIP Code	45402	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ANITA J MOORE
BOARD CHAIR	0.5	0.0	X	X	0	0	0
JAMES M PACENTA MD
TRUSTEE	0.5	39.5	X		0	663331	42568
ANGELA CLEMENTS CPA
TRUSTEE	0.5	0.0	X		0	0	0
CHRISTOPHER CROOM MD
TRUSTEE (Thru May 2012)	0.5	39.5	X		0	663340	35490
WILLIAM L GILLISPIE
TRUSTEE	0.5	0.0	X		0	0	0
DAVID W KEY MD
TRUSTEE	0.5	0.0	X		3000	0	0
MARY C NUTTER
TRUSTEE	0.5	0.0	X		0	0	0
SR RABBI DAVID SOFIAN
TRUSTEE	0.5	0.0	X		0	0	0
JAMES J MURPHY MD
TRUSTEE	0.5	0.0	X		0	0	0
CHRISTOPHER DANIS MD
TRUSTEE	0.5	39.5	X		0	433190	18050
MARC BELCASTRO
TRUSTEE	0.5	0.0	X		0	0	0
JACK LOHBECK
TRUSTEE	0.5	0.0	X		0	0	0
JAMES R PANCOAST
TRUSTEE / PREMIER PRES & CEO	0.5	39.5	X		0	3797846	61777
BOBBIE L GERHART
PRESIDENT & CEO	40.0	0.0	X	X	730837	0	44385
REV DR BRODIE MATHIS
TRUSTEE	0.5	0.0	X		0	0	0
WILLIAM C WILSON MD
TRUSTEE (THRU JUNE 2012)	0.5	0.0	X		0	0	0
GEOFFREY P WALKER
BOARD SECRETARY	40.0	0.0		X	279662	0	48633
BARBARA A JOHNSON
EXECUTIVE VP & COO	40.0	0.0		X	526300	0	14763
SCOTT A SHELTON
VP & CFO	40.0	0.0		X	300630	0	28302
MARY M CLANCY
VP - CIO (PREMIER)	8.0	32.0			482163	0	39747	X
DALE E CREECH
VP & CLO (PREMIER)	7.75	32.25			598155	0	56953	X
RENEE P GEORGE
VP - REVENUE CYCLE (PREMIER)	8.0	32.0			276674	0	34514	X
WILLIAM E LINESCH
VP - HUMAN RESOURCES (PREMIER)	8.0	32.0			445854	0	38785	X
MARK W SHAW
VP - MANAGED CARE (PREMIER)	8.0	32.0			403205	0	57358	X
MARK S SHAKER
SR VP SRVCE INTEGRATE(PREMIER)	8.0	32.0			746571	0	33540	X
MICHAEL MAIBERGER
SR VP-CHIEF STRATEGY (PREMIER)	8.0	32.0			0	569067	75958	X
ROBERT M BOWMAN
VP - OPERATIONS	40.0	0.0			259529	0	43941	X
KIMBERLY A HENSLEY
VP - OPERATIONS	40.0	0.0			163642	0	26039	X
JOANN R RINGER
COO MVH SOUTH	40.0	0.0			306997	0	30537	X
DEBORAH A MALS
VP & CNO	40.0	0.0			340340	0	45295	X
TAMMY S LUNDSTROM
CHIEF MEDICAL OFFICER(PREMIER)	40.0	0.0			432277	0	0		X
ANN M SCHUERMAN
VP OPERATION INNOVATE(PREMIER)	40.0	0.0			353263	0	47920		X
GARY S COLLIER
VP CLINICAL CONSULTING	40.0	0.0			397868	0	54859		X
MICHAEL A OCONNELL
FORMER CEO - DCD	40.0	0.0			556121	0	25757		X
MOLLY J HALL
VP - ACADEMIC AFFAIRS	40.0	0.0			432732	0	31067		X
J NICK LAIR
FORMER KEY EMPLOYEE	40.0	0.0			311474	0	45151			X
DIANE L PLEIMAN
FORMER KEY EMPLOYEE	40.0	0.0			263730	0	26649			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8611024	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	6126774	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1008038	TotalOtherCompensation
Number Individuals GT100 K	222	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
COMPUNET CLINICAL LABORATORIES
2308 SANDRIDGE DR	MORAINE	OH	45349	CLINICAL LAB	23822177
ANESTHESIOLOGY SERVICES NETWORK
PO BOX 349	DAYTON	OH	45409	Medical Services	7510120
MIAMI VALLEY EMERGENCY SPECIALISTS
35 MILLARD CT	SPRINGBORO	OH	45066	Medical Services	4920660
DAWSON HEALTHCARE
3650 OLENTANGY RIVER RD 450	COLUMBUS	OH	43214	AGENCY STAFF	2611740
WRIGHT STATE PHYSICIANS
128 E APPLE ST	DAYTON	OH	45409	MEDICAL SERVICES	2257929

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	69	NumberOfContractorsGT100K
Related Organizations	2675858	RelatedOrganizations
Total Contributions	2675858	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	900099	419929434	419929434
MEDICARE/MEDICAID	900099	379936154	379936154
HOSPITAL FRANCHISE TAX RECOVERIES	900099	27863000	27863000
JOINT OPERATING AGREEMENT	900099	6605000	6605000
DENTAL CLINIC	900099	132281	132281

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	678956	TotalRevenueColumn
Related Or Exempt Function Income	678956	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	835144825	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5547561	TotalRevenueColumn
Exclusion	$5,547,561	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	4031427	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2747315	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1284112	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1284112	TotalRevenueColumn
Exclusion	$1,284,112	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	742529825	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	719581853	Securities
Other	1245156	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	22947972	Securities
Other	-1245156	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	21702816	TotalRevenueColumn
Exclusion	$21,702,816	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	3871419	GrossSalesOfInventory
Cost Of Goods Sold	439679	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	3431740	TotalRevenueColumn
Exclusion	$3,431,740	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA SALES	900099	5919927	$5,919,927
PARKING GARAGE	812930	1883543	$1,883,543
JOINT VENTURE	900099	288959	$288,959

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4417605	TotalRevenueColumn
Exclusion	$4,417,605	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	12510034	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	882296946	TotalRevenueColumn
Related Or Exempt Function Income	835144825	RelatedOrExemptFunctionIncome
Exclusion	$44,476,263	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	5913883	Total
Program Services	5913883	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	6403351	Total
Program Services	5456298	ProgramServices
Management And General	947053	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	295025546	Total
Program Services	251391268	ProgramServices
Management And General	43634278	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	21734034	Total
Program Services	18519570	ProgramServices
Management And General	3214464	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	40834098	Total
Program Services	34794735	ProgramServices
Management And General	6039363	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	20998049	Total
Program Services	17892438	ProgramServices
Management And General	3105611	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	236090	Total
Program Services	201172	ProgramServices
Management And General	34918	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1353215	Total
Program Services	1153075	ProgramServices
Management And General	200140	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	395510	Total
Management And General	395510	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	48142	Total
Program Services	48142	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1205533	Total
Management And General	1205533	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	37005756	Total
Program Services	37005756	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3362703	Total
Program Services	3362703	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4988834	Total
Program Services	4250985	ProgramServices
Management And General	737849	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	12999661	Total
Program Services	11077011	ProgramServices
Management And General	1922650	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	14627738	Total
Program Services	12464296	ProgramServices
Management And General	2163442	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	694412	Total
Program Services	591708	ProgramServices
Management And General	102704	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	10836	Total
Program Services	9233	ProgramServices
Management And General	1603	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	12968553	Total
Program Services	12968553	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	72890309	Total
Program Services	62109832	ProgramServices
Management And General	10780477	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8511884	Total
Program Services	7252976	ProgramServices
Management And General	1258908	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
OPERATING SUPPLIES	139223128	139223128
PURCHASED SERVICES	59806157	50960826	8845331
LOSS ON EXTINGUISHMENT	18034384		18034384
HOSPITAL FRANCHISE TAX	10976989	10976989

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	19848239	Total
Program Services	16912684	ProgramServices
Management And General	2935555	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	810097034	Total
Program Services	704537261	ProgramServices
Management And General	105559773	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	28522	BOY
EOY	30351	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	34142664	BOY
EOY	19703994	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	113070876	BOY
EOY	139987178	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	9003284	BOY
EOY	7097941	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6175831	BOY
EOY	6136215	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8232457	BOY
EOY	9700599	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1234925639	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	563154035	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	637899537	BOY
EOY	671771604	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	402756902	BOY
EOY	268900915	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	63993890	BOY
EOY	190583524	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	25919184	BOY
EOY	24735557	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	58082292	BOY
EOY	45977336	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1359305439	BOY
EOY	1384625214	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	85784199	BOY
EOY	82730168	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	1592084	BOY
EOY	571795	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1218263	BOY
EOY	1304271	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	418612767	BOY
EOY	430412394	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	4208750	BOY
EOY	6009302	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	226426508	BOY
EOY	250908246	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	737842571	BOY
EOY	771936176	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	621462868	BOY
EOY	612689038	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	621462868	BOY
EOY	612689038	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1359305439	BOY
EOY	1384625214	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	72199912	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	11410067	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-92383809	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$34,912	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$13,230	OtherActivitiesAmount
Total Lobbying Expenditures IIB	48142	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART II-B, LINE 1F:	Identifier
Explanation	PORTION OF DUES PAID TO GREATER DAYTON AREA HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION. PART II-B, LINE 1I: WE CONTRACT WITH A LOBBYIST FOR HEALTHCARE RELATED ISSUES.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years
Current Year Minus4 Years		CurrentYearMinus4Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	37033673	OtherCostOrOtherBasis
Book Value	37033673	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	669334504	OtherCostOrOtherBasis
Depreciation	291408260	Depreciation
Book Value	377926244	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1981595	OtherCostOrOtherBasis
Depreciation	1303089	Depreciation
Book Value	678506	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	472116091	OtherCostOrOtherBasis
Depreciation	270442686	Depreciation
Book Value	201673405	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	54459776	OtherCostOrOtherBasis
Book Value	54459776	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	671771604	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	ALTERNATE INVESTMENTS	Description
Book Value	190583524	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Securities	190583524	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescription	AmountAmount
PENSION OBLIGATION	$176,559,688
MALPRACTICE INSURANCE	$26,524,221
SWAP LIABILITY	$25,000,094
LOAN GUARANTEE & OTHER LTL	$8,291,299
RESIDENT FICA REFUND PAYABLE	$5,256,490
CONTRACTOR RETAINAGE RESERVE	$3,331,889
HOSPITAL FRANCHISE TAX PAYABLE	$2,921,816
WORKERS COMP RESERVE	$1,459,696
WRIGHT STATE NEUROSCIENCE	$800,000
OTHER	$763,053

Field	Value	IRS element (for citing)
Total Of Amounts	250908246	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	Schedule D, Part X, Line 2:	Identifier
Explanation	Miami Valley Hospital (MVH) is a member, under a joint operating agreement, of Premier Health Partners which is tax-exempt under Section 501(c)(3) of the Internal Revenue Code. As such, there is no income tax liability recorded at December 31, 2012 and 2011. In addition, Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the combined financial statements. MVH and its respective subsidiaries are a group of corporations that are tax-exempt corporations under Section 501(c)(3) of the Internal Revenue Code except for the following subsidiaries: MVHE, Inc. and Premier Health Specialists, Inc. (subsidiaries of MedAmerica Health Systems Corp.)	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures	Specific Services ProvidedSpecificServicesProvided
Central America and the Caribbean	Investments	88118000
Central America and the Caribbean	Program Services	45000	Insurance

Field	Value	IRS element (for citing)
Subtotal Amount Spent	88163000	SubtotalAmountSpent
Total Amount Spent	88163000	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	47355000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12998000	DirectOffsettingRevenue
Net Community Benefit Expense	34357000	NetCommunityBenefitExpense
Percent Of Total Expense	0.04240	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	153709000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	134430000	DirectOffsettingRevenue
Net Community Benefit Expense	19279000	NetCommunityBenefitExpense
Percent Of Total Expense	0.02380	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6999000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5515000	DirectOffsettingRevenue
Net Community Benefit Expense	1484000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	208063000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	152943000	DirectOffsettingRevenue
Net Community Benefit Expense	55120000	NetCommunityBenefitExpense
Percent Of Total Expense	0.06800	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5328000	TotalCommunityBenefitExpense
Net Community Benefit Expense	5328000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00660	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25024000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20590000	DirectOffsettingRevenue
Net Community Benefit Expense	4434000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00550	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15367000	TotalCommunityBenefitExpense
Net Community Benefit Expense	15367000	NetCommunityBenefitExpense
Percent Of Total Expense	0.01900	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	115000	TotalCommunityBenefitExpense
Net Community Benefit Expense	115000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	45834000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20590000	DirectOffsettingRevenue
Net Community Benefit Expense	25244000	NetCommunityBenefitExpense
Percent Of Total Expense	0.03120	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	253897000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	173533000	DirectOffsettingRevenue
Net Community Benefit Expense	80364000	NetCommunityBenefitExpense
Percent Of Total Expense	0.09920	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	1018000	TotalCommunityBuildingExpense
Net Community Building Expense	1018000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	1018000	TotalCommunityBuildingExpense
Net Community Building Expense	1018000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$16,013,000	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	142452000	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	164590000	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-22138000	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MIAMI VALLEY HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	ONE WYOMING ST	AddressLine1
City	DAYTON	City
State	OH	State
ZIP Code	45409	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.PREMIERHEALTH.COM	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours
Facility Reporting Group	1	FacilityReportingGroup

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Miami Valley Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Dialysis Centers of Dayton LLC
136 South Ludlow St Suite 500	Dayton	OH	45402	Dialysis Treatment
Lincoln Park Manor
694 Isaac Prugh Way	Kettering	OH	45429	Assisted Living

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Identifier	Part I, Line 6a:	Identifier
Explanation	The community benefit report for Miami Valley Hospital is part of the Premier Health report. PART I, LINE 7: A cost to charge ratio was used to calculate this financial assistance at cost. This calculation takes total operating expenses less other operating revenues divided by total gross revenues. Unreimbursed Medicaid and other means-tested governmental programs were calculated using a cost accounting system. This system addresses all patient segments and includes fully loaded costs. For the remaining items the organization used specific numbers for expense paid directly for these services. Part I, Line 7G: Miami Valley Hospital (MVH) provides the following subsidized service: Emergency Services: MVH operates a 24-hour emergency room 365 days per year. This emergency room is open to all individuals regardless of their ability to pay. The hospital incurs expenses related to call time and physician subsidies due to the large number of indigent patients coming through the emergency room. For 2012, the amount paid for call and subsidies was $15,367,000. Part III, Line 2 & 3: Bad debt expense is incurred when an account is taken out of Accounts Receivable and turned over to a collection agency. This action may occur if a patient refuses payment arrangements, refuses to apply for financial assistance, and there is not an insurance balance being contended. An account is written off to bad debt after 120 days if an attempt to collect from the patient is made within our collection policy and the patient has not returned phone calls, set up a payment plan, applied for financial assistance, and there is not an insurance balance being contended. The collection agency attempts to collect the account in accordance with established guidelines. Collection attempts are ceased and the account returned back to the organization if the patient applies for financial assistance. Any amounts collected from these accounts are credited back against bad debt expense. The organization recognizes that there are accounts written off to bad debt that may have qualified for charity care if the patient had provided the necessary financial information. In order to resolve this, the organization has engaged a third party vendor to analyze data based on credit scores to reallocate some of this expense to charity care. These accounts are then sent to our third party vendor who gathers external credit data that presents the account as less than 100% Federal Poverty Level or not enough information (typically indicative of indigent). These accounts are reclassed from bad debt expense to charity expense on our income statement. Any credit score that presents the accounts as greater than 100% Federal Poverty Level remains in bad debt expense. Due to this process, the organization has used best efforts to not report bad debt expense for patients eligible under the organization's charity care policy. PART III, LINE 4: The organization does not have a footnote in the audited financial statements which discusses this calculation. PART III, SECTION B, LINES 5, 6, AND 7: The amounts reported on Lines 5, 6, and 7 do not include certain Medicare program revenues and costs, and thus do not reflect all of the organization's revenues and costs associated with its participation in Medicare programs. In addition to the amounts reported on Line 5, 6, and 7, the organization received revenue of $96,912,000 and incurred cost of $134,062,000, for an additional net shortfall of $37,150,000 associated with these programs. Below is a reconciliation of the amounts associated with Medicare programs. Allowable Medicare revenue per Medicare Cost Report (Part III, Section B) 142,452,000 Medicare revenue not reported in Part III, Section B 96,912,000 Total Medicare associated revenue 239,364,000 Allowable Medicare cost per Medicare Cost Report (Part III, Section B) 164,590,000 Medicare cost not reported in Part III, Section B 134,062,000 Total Medicare associated cost 298,652,000 Medicare shortfall per Part III, Section B 22,138,000 Additional shortfall not included in Part III, Section B 37,150,000 Total Medicare shortfall 59,288,000 PART III, LINE 8: The organization's shortfall should be considered charity care because it is providing high-quality care in excess of the cost to our community residents that need care. The Medicare population at the organization is in excess of 39% of net patient revenue. The organization used a cost accounting system to calculate the Medicare allowable costs. PART III, LINE 9B: The organization makes reasonable efforts to determine whether or not an individual is eligible for assistance under the state or hospital financial assistance policy before engaging in extraordinary collective actions against that individual. Patients who are known to qualify for financial assistance are offered reasonable payment plan arrangements for any remaining balances. Any third party collecting self-pay receivables on our behalf is required to make reasonable efforts to determine if the individual meets the qualifications of the state or of our hospital financial assistance programs. Reasonable efforts include: A. Validating that the patient owes the unpaid bills and that all sources of third party payment have been identified and billed by the hospital. B. Documenting that the organization has or has attempted to offer the patient the opportunity to apply for charity care under its financial assistance policy. C. Documented that the patient does not qualify for financial assistance. D. Document that the patient has been offered a payment plan, but has not honored the terms of that plan. The financial counselors meet with inpatient, outpatient self-pay, and other patients upon request who may need financial assistance. In addition to assisting patients who want to apply for assistance through the Medicaid program, the financial counselor will provide the patient with a financial assistance application. PART V, SECTION B, LINE 12H: If the patient's family's income falls within 400% of the federal poverty guidelines, the patient qualifies for assistance under the hospital financial assistance policy. All or part of the account will be written off to charity care, based upon a Sliding Fee Schedule. The amounts charged to patients who are eligible for financial assistance are not more than the amounts generally billed to individuals who have insurance covering such care. Patients who qualify for financial assistance are not billed gross charges for emergency or medically necessary care. We offer reasonable payment plans to those who have qualified for charity care. Patients may also qualify for charity care discounts due to a medically-based catastrophic event which has occurred in their life. If a patient qualifies for this discount, he/she would only be held responsible for payment of his/her family's medical expenses up to 15% of their annual income. PART V, SECTION B, LINE 14G: The hospital widely distributes information about its financial assistance policy within the area that it serves. This information includes the method of applying for and accessing financial assistance. Notices are publicized in patients' bills and are posted in the emergency room, admitting and registration areas, as well as other public areas. A summary of the financial assistance policy is published on the hospital's website. Financial counselors, patient advocates, and customer service representatives discuss the financial assistance policy with all uninsured patients, and any patient who expresses financial hardship with paying their bill. Applications for financial assistance policy are available in both English and Spanish. PART V, SECTION B, LINE 16: The hospital does not impose extraordinary collection actions such as wage garnishments, liens on primary residences, or other legal actions for any patient without first making reasonable efforts to determine whether the patient is eligible for charity care under its financial assistance policy. Reasonable efforts include: A. Validating that the patient owes the unpaid bills and that all sources of third party payment have been identified and billed by the hospital. B. Documenting that the hospital has or has attempted to offer the patient the opportunity to apply for charity care under its financial assistance policy. C. Documented that the patient does not qualify for financial assistance. D. Document that the patient has been offered a payment plan, but has not honored the terms of that plan. PART V, SECTION B, LINE 17: No extraordinary collection actions are permitted until after first making reasonable efforts to determine whether the patient is eligible for charity care under the financial assistance policy. PART V, SECTION B, LINE 18: Before initiating collections actions, the hospital notifies self-pay patients of its financial assistance policy. Notices of the policy are publicized in the patients' bills and are also posted in the emergenc	Explanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (39 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
THE DAYTON FOUNDATION
409 E Monument Ave 102	DAYTON	OH	45402	310627287	501(C)(3)	3949289	VARIOUS
PREMIER COMMUNITY HEALTH
23 JASPER ST	DAYTON	OH	45409	311122883	501(C)(3)	378000	COMMUNITY HEALTH
CITY OF DAYTON
335 W THIRD ST	DAYTON	OH	45402	316000175	GOVERNMENT	200040	GOOD NEIGHBOR POLICE PROGRAM
REACH OUT MONTGOMERY COUNTY
25 E FORAKER ST	DAYTON	OH	45409	311434282	501(C)(3)	180113	RX ASSISTANCE FOR INDIGENT PATIENTS
UNITED WAY GREATER DAYTON AREA
33 W FIRST ST 500	DAYTON	OH	45402	310536658	501(C)(3)	138215	CORPORATE PLEDGE
AMERICAN HEART ASSOCIATION
5211 MADISON RD	CINCINNATI	OH	45227	135613797	501(C)(3)	119580	SPONSORSHIP
GOOD NEIGHBOR HOUSE
844 S PATERSON BLVD	DAYTON	OH	45402	311374154	501(C)(3)	45417	ANNUAL PLEDGE
MIAMI VALLEY HOSPITAL FOUNDATION
ONE WYOMING ST	DAYTON	OH	45409	311040231	501(C)(3)	39865	HEALTH PROMOTION
SALVATION ARMY
1000 N KEOWEE ST	DAYTON	OH	45404	135562351	501(C)(3)	39852	SUPPORT
DOWNTOWN DAYTON PARTNERSHIP
10 W SECOND ST 611	DAYTON	OH	45402	341722175	501(C)(3)	32000	SUPPORT
AIDS RESOURCE CENTER OHIO
15 W FOURTH ST 200	DAYTON	OH	45402	311126780	501(C)(3)	26600	AFRICAN AMERICAN OUTREACH
DAYTON MONTGOMERY COUNTY
500 KETTERING TOWER	DAYTON	OH	45423	311358532	501(C)(3)	25990	ANNUAL PLEDGE
ATRIUM MEDICAL CENTER FOUNDATION
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311079213	501(C)(3)	25360	SUPPORT
CENTRAL STATE UNIVERSITY FOUNDATION
PO BOX 1004	WIBERFORCE	OH	45384	310749885	501(C)(3)	25000	SPONSORSHIP
DAYTON PHILHARMONIC ORCHESTRA
109 N MAIN ST 200	DAYTON	OH	45402	316000101	501(C)(3)	23425	SPONSORSHIP
CITYWIDE DEVELOPMENT CORP
8 N MAIN ST	DAYTON	OH	45402	310821189	501(C)(3)	19200	GENESIS PROJECT DOWNTOWN DAYTON
GOODWILL EASTER SEALS
1511 KUNTZ RD	DAYTON	OH	45404	310537112	501(C)(3)	15995	CAR SEAT PROGRAM
DAYTON CONTEMPORARY DANCE COMPANY
840 GERMANTOWN ST	DAYTON	OH	45402	237220259	501(C)(3)	11710	SPONSORSHIP
HEALTH PARTNERS FREE CLINIC
1300 N CO RD 25A	TROY	OH	45373	311596731	501(C)(3)	10940	SUPPORT
PARITY INC
907 W 5TH ST	DAYTON	OH	45402	311345623	501(C)(3)	10470	SUPPORT
DAYTON OPERA ASSOCIATION
138 N MAIN ST	DAYTON	OH	45402	310643964	501(C)(3)	9800	ANNUAL PLEDGE
GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON
110 N MAIN ST SUITE 500	DAYTON	OH	45402	237296923	501(C)(3)	9380	SUPPORT
DAYTON ART INSTITUTE
456 BELMONTE PK N	DAYTON	OH	45405	310537480	501(C)(3)	9189	SPONSORSHIP
MARCH OF DIMES FOUNDATION
1275 MAMARONECK AVE	WHITE PLAINS	NY	10605	131846366	501(c)(3)	8980	PRESENTING SPONSOR DEVELOPMENT
UVMC FOUNDATION
3130 NORTH COUNTY ROAD 25A	TROY	OH	45373	311581859	501(c)(3)	7470	SUPPORT
AMERICAN RED CROSS
370 W FIRST ST	DAYTON	OH	45402	310537493	501(C)(3)	7420	SPONSORSHIP
CITIZENS FOR GOOD LIBRARIES
266 BAINBRIDGE ST	DAYTON	OH	45402	311660503		7350	SUPPORT
BRUKNER NATURE CENTER
5995 HORSESHOE BEND RD	TROY	OH	45373	310732613	501(C)(3)	6960	SUPPORT
COUNTRYSIDE YMCA
1699 DEERFIELD RD	LEBANON	OH	45036	510181689	501(C)(3)	6890	SUPPORT
UNIVERSITY OF DAYTON
300 COLLEGE PK	DAYTON	OH	45469	310536715	501(C)(3)	6705	SUPPORT
AIR FORCE BASE MUSEUM FOUNDATION
1100 SPAATZ ST	DAYTON	OH	45433	310668800	501(C)(3)	6490	SUPPORT
CHAMINADE-JULIENNE HIGH SCHOOL
505 S LUDLOW ST	DAYTON	OH	45402	310832408	501(C)(3)	6195	SUPPORT
DAYBREAK
605 S PATTERSON BLVD	DAYTON	OH	45420	310864474	501(C)(3)	6155	ANNUAL PLEDGE
HOSPICE OF DAYTON FOUNDATION
324 WILMINGTON AVE	DAYTON	OH	45420	310933339	501(C)(3)	6125	SUPPORT
CULTURE WORKS
126 N MAIN ST 220	DAYTON	OH	45402	237412338	501(C)(3)	6002	ANNUAL CAMPAIGN
CITY FOLK FESTIVAL
126 N MAIN ST 220	DAYTON	OH	45402	311030297	501(C)(3)	5900	SPONSORSHIP
YWCA
141 W THIRD ST	DAYTON	OH	45402	310537168	501(C)(3)	5756	SUPPORT
HOSPICE OF MIAMI COUNTY
PO BOX 502	TROY	OH	45373	311031277	501(C)(3)	5470	SUPPORT
DAYTON BALLET ASSOCIATION
140 N MAIN ST	DAYTON	OH	45402	310734587	501(C)(3)	5053	SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	38	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE I, part I, Line 2:	Identifier
Explanation	1) Community benefits budgeted allocations are approved by the Miami Valley Hospital Board annually. 2) Invoices are received in Accounts Payable upon appropriate approval for payment. 3) Disbursements occur according to standard Accounts Payable guidelines.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	true	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (26 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES M PACENTA MD
TRUSTEE	0	656881	0	0	0	6450	0	17598	0	24970	0	705899	0	0
CHRISTOPHER CROOM MD
TRUSTEE (Thru May 2012)	0	560489	0	100000	0	2851	0	14049	0	21441	0	698830	0	0
CHRISTOPHER DANIS MD
TRUSTEE	0	368190	0	65000	0	0	0	5336	0	12714	0	451240	0	0
JAMES R PANCOAST
TRUSTEE / PREMIER PRES & CEO	0	896436	0	434586	0	2466824	0	32011	0	29766	0	3859623	0	0
GEOFFREY P WALKER
BOARD SECRETARY	205906	0	66783	0	6973	0	26013	0	22620	0	328295	0	5466	0
BOBBIE L GERHART
PRESIDENT & CEO	478426	0	182353	0	70058	0	32600	0	11785	0	775222	0	60189	0
BARBARA A JOHNSON
EXECUTIVE VP & COO	333901	0	182425	0	9974	0	4747	0	10016	0	541063	0	5206	0
SCOTT A SHELTON
VP & CFO	228808	0	69243	0	2579	0	24514	0	3788	0	328932	0	0	0
MARY M CLANCY
VP - CIO (PREMIER)	326023	0	115798	0	40342	0	25126	0	14621	0	521910	0	37243	0
DALE E CREECH
VP & CLO (PREMIER)	359156	0	110992	0	128007	0	32434	0	24519	0	655108	0	123092	0
RENEE P GEORGE
VP - REVENUE CYCLE (PREMIER)	215265	0	60657	0	752	0	8225	0	26289	0	311188	0	0	0
WILLIAM E LINESCH
VP - HUMAN RESOURCES (PREMIER)	313022	0	92384	0	40448	0	31351	0	7434	0	484639	0	31031	0
MARK W SHAW
VP - MANAGED CARE (PREMIER)	255582	0	87080	0	60543	0	33040	0	24318	0	460563	0	52525	0
MARK S SHAKER
SR VP SRVCE INTEGRATE(PREMIER)	424644	0	163966	0	157961	0	28111	0	5429	0	780111	0	153170	0
MICHAEL MAIBERGER
SR VP-CHIEF STRATEGY (PREMIER)	0	266440	0	146051	0	156576	0	45625	0	30333	0	645025	0	0
J NICK LAIR
FORMER KEY EMPLOYEE	211273	0	88664	0	11537	0	21775	0	23376	0	356625	0	10733	0
ROBERT M BOWMAN
VP - OPERATIONS	183792	0	74486	0	1251	0	19448	0	24493	0	303470	0	0	0
KIMBERLY A HENSLEY
VP - OPERATIONS	140529	0	22476	0	637	0	14257	0	11782	0	189681	0	0	0
TAMMY S LUNDSTROM
CHIEF MEDICAL OFFICER(PREMIER)	430210	0	0	0	2067	0	0	0	0	0	432277	0	0	0
ANN M SCHUERMAN
VP OPERATION INNOVATE(PREMIER)	240548	0	70494	0	42221	0	37380	0	10540	0	401183	0	33620	0
GARY S COLLIER
VP CLINICAL CONSULTING	277093	0	70189	0	50586	0	33324	0	21535	0	452727	0	45287	0
JOANN R RINGER
COO MVH SOUTH	207695	0	97833	0	1469	0	27496	0	3041	0	337534	0	0	0
DEBORAH A MALS
VP & CNO	232845	0	83763	0	23732	0	31346	0	13949	0	385635	0	17949	0
MICHAEL A OCONNELL
FORMER CEO - DCD	188796	0	183443	0	183882	0	22448	0	3309	0	581878	0	0	0
MOLLY J HALL
VP - ACADEMIC AFFAIRS	315008	0	111240	0	6484	0	8428	0	22639	0	463799	0	0	0
DIANE L PLEIMAN
FORMER KEY EMPLOYEE	197868	0	60041	0	5821	0	20032	0	6617	0	290379	0	4632	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Part I, Line 4A:	Identifier
Explanation	MICHAEL A. OCONNELL RECEIVED SEVERANCE PAYMENTS OF $182,000. PART I, LINE 4B: DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, MIAMI VALLEY HOSPITAL (MVH), COMPENSATES FOR THIS LIMITATION AND SUPPLEMENTS THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MVH SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN AND A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2012. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2012: GARY COLLIER $45,287; DALE CREECH $123,092; BARBARA JOHNSON $5,206; NICK LAIR $10,733; WILLIAM LINESCH $31,031; MARY CLANCY $37,243; DEBORAH MALS $17,949; DIANE PLEIMAN $4,632; MARK SHAKER $153,170; MARK SHAW $52,525; ANN SCHUERMAN $33,620; BOBBIE GERHART $60,189; GEOFFREY WALKER $5,466. The individuals listed below have met the multi-year vesting requirement under the SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2012: JIM PANCOAST $2,450,555; MICHAEL MAIBERGER $29,210. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. ANY PAYMENTS MADE AFTER THE 2-1/2 MONTHS WERE PROPERLY REPORTED ON PRIOR YEARS' FILED IRS FORM 990 RETURNS, DISCLOSING COMPENSATION EARNED BY THESE INDIVIDUALS UNDER THE PLANS FOR EACH SUCH YEAR. PART I, LINE 6A AND 6B: PREMIER HEALTH (PREMIER), WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE, HAS AN INCENTIVE COMPONENT FOR ALL EXECUTIVE AND DIRECTOR LEVEL EMPLOYEES THAT TIES A PORTION OF THEIR TOTAL COMPENSATION TO ORGANIZATIONAL AND INDIVIDUAL OBJECTIVES AND OUTCOMES. THE ORGANIZATIONAL CRITERION IS WEIGHTED ACCORDING TO BALANCED SCORECARD CATEGORIES: POSITIVE WORK ENVIRONMENT (15%), QUALITY (30%), PATIENT SATISFACTION (15%), PHYSICIAN PARTNERSHIP (15%), AND FINANCIAL (25%). THE FINANCIAL CATEGORY OF THE SCORECARD IS BASED ON NET EARNINGS OF THE INDIVIDUAL HOSPITAL AND THE NET EARNINGS OF THE SYSTEM OF A WHOLE. THIS FINANCIAL TARGET IS SET BASED ON THE OPERATING AND CASH FLOW MARGINS REQUIRED TO MAINTAIN THE SYSTEM'S AA CREDIT RATINGS. INCENTIVE OBJECTIVES FOR DIRECTORS AND ABOVE ARE WEIGHTED 45% ON ORGANIZATIONAL CRITERIA, 45% ON INDIVIDUAL CRITERIA, AND 10% ON OPERATIONAL EFFECTIVENESS. THE 2012 INCENTIVE PLAN AMOUNTS WERE PAID TO THE PARTICIPANTS IN 2013. THESE ARE NOT REPORTED AS DEFERRED COMPENSATION ON THE 2012 FORM 990 BASED ON THE DEFINITION OF DEFERRED COMPENSATION CONTAINED IN THE FORM 990 INSTRUCTIONS. PER THE INSTRUCTIONS, "DEFERRED COMPENSATION IS GENERALLY TREATED AS EARNED OR ACCRUED IN THE YEAR THAT SERVICES ARE RENDERED, EXCEPT WHEN ENTITLEMENT TO PAYMENT IS CONTINGENT ON SATISFACTION OF SPECIFIED ORGANIZATIONAL GOALS OR PERFORMANCE CRITERIA (OTHER THAN MERE LONGEVITY OF SERVICE) UNDER THE DEFERRED COMPENSATION PLAN." BASED ON THE INCENTIVE PROGRAM CRITERIA OUTLINED ABOVE, WE BELIEVE THE INCENTIVE PAYMENTS MEET THE EXCEPTION NOTED IN THE INSTRUCTIONS. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
COUNTY OF MONTGOMERY OH
A	316000172	613549GP3	2008-11-13	234895988	SEE PART VI - Note A	false	false	false
COUNTY OF MONTGOMERY OH
B	316000172	613549GZ1	2009-02-24	126463824	SEE PART VI - Note B	false	false	false
COUNTY OF MONTGOMERY OH
C	316000172	613549JL9	2011-04-12	106431124	SEE PART VI - Note C	false	false	false
COUNTY OF MONTGOMERY OH
D	316000172	613549JX3	2011-04-26	85000000	SEE PART VI - Note C	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	137865000	234895988	3249201	2119000	34304034	347077	2010	true	false	true	true
B	115000000	126463824	5940580	2293824	0	0	2010	true	false	true	true
C	585000	106431124	1804070	1203000	105228124	0	2010	false	false	true	true
D	0	85000000	20306	727500	84272500	1	2010	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs	Prcntge Bond Financed PropPrcntgeBondFinancedProp
A	false	true	true	true	true	true	0.00777	0.00777	false	false	false	true
B	false	true	true	true	true	true	0.00777	0.00777	false	false	false	true
C	false	false	false		false		0.00000	0.00000	false	false	false	true	0.00000
D	false	false	false		false		0.00000	0.00000	false	false	false	true	0.00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Term Of HedgeTermOfHedge
MERRILL LYNCH
A	true	true	true	true	true	false	0	false
0
B	false	false	false			false	0	false	false	true	false
BARCLAYSWELLS FARGO
C	false	false	true	true	false	false	0	false	false	true	false	24.
BARCLAYSWELLS FARGO
D	false	true	true	true	false	false	0	false	false	true	false	33.5

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true
C	true
D	true

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Note A, PART 1, LINE A, COLUMN F:	0	REFUND MIAMI VALLEY HOSPITAL BOND SERIES 1992B, 1998A, 2003A, 2003B, & 2003C, AND TO PROVIDE FUNDS TO CONSTRUCT THE SOUTH EAST TOWER ON THE HOSPITAL'S CAMPUS.
Note B, PART 1, LINE B, COLUMN F:	0	REFUND PORTION OF MIAMI VALLEY HOSPITAL SERIES 2008A AND 2008B BONDS.
Note C, PART 1, LINE C & D, COLUMN F:	0	PROVIDE FUNDS TO CONSTRUCT THE SOUTH EAST TOWER ON THE HOSPITAL'S CAMPUS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
COUNTY OF MONTGOMERY OH
A	316000172	2012-11-20	79830687	SEE PART VI - Note D	false	false	false
COUNTY OF MONTGOMERY OH
B	316000172	2012-11-20	48433796	SEE PART VI - Note D	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	0	0	79830687	0	226646	0	169313	0	0	0	0	0	2010	true	false	true	true
B	0	0	48433796	0	143001	0	206204	0	0	0	0	24776	2010	true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	true	true	true	true	true	0.00777	0.00000	0.00777	false	false	false	true
B	false	true	true	true	true	true	0.00777	0.00000	0.00777	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
PNC
A	false	true	false	false	true	true	27.	true	false	false	0	false	true
DEUTSCHE BANK AG
B	false	true	false	false	true	true	27.	true	false	false	0	false	true

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Note D, PART 1, LINE A & B, COLUMN F:	Identifier
Return Reference	0	ReturnReference
Explanation	REFUND MIAMI VALLEY HOSPITAL SERIES 2009A BONDS.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction
CHRISTOPHER DANIS
DIRECTOR	290854	SEE SCHEDULE L PART V
SCOTT SHELTON
OFFICER	23822177	SEE SCHEDULE L PART V
Diane Pleiman
FORMER KEY EMPLOYEE	23822177	SEE SCHEDULE L PART V

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	Schedule L - Part IV:	Identifier
Explanation	Christopher Danis, M.D. was a 25% owner in Hand & Reconstructive Surgeons. Premier Health Specialists (PHS), which is wholly owned by MedAmerica Health Systems (MAHS) completed an asset purchase of Hand & Reconstructive Surgeons in June 2012, which included placing the physicians on PHS's payroll. Prior to the purchase, MVH contracted with Hand & Reconstructive Surgeons to provide medical services. After the asset purchase, the Hand & Reconstructive Surgeons contract was assigned to PHS. This contract was audited by our compliance department to ensure we were paying fair market value and did not have any Stark violations. The amounts paid under this contract are competitive and the transaction is at arms-length. The total amount paid to Hand & Reconstructive Surgeons in 2012, including the asset purchase price, was $290,854. Miami Valley Hospital contracts with Compunet for the provision of laboratory services. Scott Shelton and Diane Pleiman are board members of Compunet Clinical Lab. In addition, Scott Shelton is the Chief Financial Officer of Miami Valley Hospital, and Diane Pleiman is a FORMER key employee of Miami Valley Hospital. Compunet is owned 33% by MVHE, Inc., which is a related organization of Miami Valley Hospital. The amounts paid under this contract are competitive and the transaction is at arms-length. The total amount paid in 2012 was $23,822,177.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

Field	Value	IRS element (for citing)
Identifier	Form 990 - Part I - Question 10:	Identifier
Explanation	THIS ORGANIZATION HAS DESIGNATED ITS INVESTMENTS AS TRADING. IN ACCORDANCE WITH THE AICPA GUIDE FOR HEALTHCARE, ALL UNREALIZED GAINS AND LOSSES ARE RECOGNIZED THROUGH THE PROFIT AND LOSS STATEMENT. FOR 990 REPORTING, THIS ACTIVITY IS EXCLUDED PER THE INSTRUCTIONS BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION A, QUESTION 3: PREMIER HEALTH (PREMIER) AS THE OPERATOR OF MIAMI VALLEY HOSPITAL (MVH) DEVELOPS AND OVERSEES THE IMPLEMENTATION OF THE STRATEGIC PLAN FOR MVH, WHICH INCLUDES (BUT IS NOT LIMITED TO) SUCH MATTERS AS LOCATION OF CLINICAL AND ADMINISTRATIVE EXPENSES AND THE CONSOLIDATION OF SUCH SERVICES. MVH SHALL COMPLY WITH AND IMPLEMENT THIS PLAN AND SHALL NOT TAKE ANY ACTION THAT MATERIALLY DEPARTS FROM THIS PLAN WITHOUT PREMIER'S APPROVAL. MVH DEVELOPS AND SUBMITS AN ANNUAL CAPITAL AND OPERATING BUDGET TO PREMIER FOR APPROVAL. MVH SHALL ADOPT AND IMPLEMENT ANY CAPITAL AND OPERATING BUDGET SO APPROVED AND/OR REVISED FOR IT BY PREMIER. MVH PERIODICALLY DEVELOPS AND SUBMITS A BUSINESS PLAN TO PREMIER FOR APPROVAL. MVH SHALL IMPLEMENT THE BUSINESS PLAN APPROVED BY PREMIER. PREMIER IS THE SOLE AGENT TO NEGOTIATE ALL RELATIONSHIPS WITH PAYORS ON BEHALF OF MVH WITH ALL THIRD PARTY PAYORS AND ALTERNATIVE DELIVERY SYSTEMS INCLUDING, BUT NOT LIMITED TO INSURERS. MVH MUST HAVE APPROVAL FROM PREMIER TO BORROW IN ANY FISCAL YEAR, GUARANTEE IN ANY YEAR, OR INCUR ANY LIEN OR OTHER ENCUMBRANCE ON ANY PROPERTY IN AN AMOUNT EQUAL TO OR GREATER THAN $1,000,000. MVH MUST SEEK PREMIER'S APPROVAL FOR ANY ACQUISITIONS, SALE OR TRANSFER OF ANY MATERIAL ASSET USED IN PREMIER'S ACTIVITIES. FORM 990, PART VI, SECTION A, QUESTION 6: MIAMI VALLEY HOSPITAL HAS TWO CORPORATE MEMBERS. ONE MEMBER IS MEDAMERICA HEALTH SYSTEMS, THE PARENT COMPANY OF THE HOSPITAL. THE SECOND MEMBER IS PREMIER HEALTH, AN OHIO NON-PROFIT CORPORATION FORMED PURSUANT TO THE JOINT OPERATING AGREEMENT. MEDAMERICA HEALTH SYSTEMS HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES OF THE CORPORATION. PREMIER HEALTH HAS THE GENERAL AUTHORITY TO OPERATE AND MANAGE THE OPERATIONAL ACTIVITIES OF THE CORPORATION. FORM 990, PART VI, SECTION A, QUESTION 7A: MEDAMERICA HEALTH SYSTEMS (MAHS) HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR MIAMI VALLEY HOSPITAL (MVH). MAHS HAS THE AUTHORITY TO REMOVE TRUSTEES AT ANY REGULAR OR SPECIAL MEETING OR BY WRITTEN CONSENT. PREMIER HEALTH (PREMIER) HAS THE RIGHT TO REQUEST THAT MAHS REMOVE A TRUSTEE OF THE MAHS OR MVH IF PREMIER HAS DETERMINED THAT SUCH TRUSTEE IS FRUSTRATING THE GOALS AND PURPOSES OF PREMIER'S NETWORK. SUCH REMOVAL SHALL NOT BE UNREASONABLY REFUSED BY MAHS. FORM 990, PART VI, SECTION A, QUESTION 7B: SEE THE RESPONSE ABOVE FOR FORM 990, PART VI, SECTION A, QUESTION 3. FORM 990, PART VI, SECTION B, QUESTION 11B: THIS 990 TAX RETURN AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER HEALTH (PREMIER), OF WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE. THE RETURN IS REVIEWED BY THE TAX MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. THE RETURN IS CONCURRENTLY SENT TO ERNST & YOUNG U.S. LLP FOR THEIR REVIEW. AFTER ALL CHANGES FROM THE ABOVE GROUPS ARE MADE, THE RETURN IS REVIEWED BY THE VICE PRESIDENT/CONTROLLER OF PREMIER AND THE CHIEF FINANCIAL OFFICER OF THIS ENTITY. A FINAL VERSION OF THE RETURN IS SENT TO ERNST & YOUNG U.S. LLP FOR A FINAL REVIEW AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. AT THE MEETING, THE VICE PRESIDENT/CONTROLLER OF PREMIER (OR DESIGNEE) SHARES DETAILED INFORMATION ON COMPENSATION AND OTHER KEY AREAS, AS WELL AS ADDRESS ANY OTHER QUESTIONS FROM THE BOARD OF TRUSTEES, PENDING THEIR REVIEW. THE 990 TAX RETURN IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER. AT THE MEETING, THE VICE PRESIDENT/CONTROLLER OF PREMIER (OR DESIGNEE) SHARES DETAILED INFORMATION ON COMPENSATION AND OTHER KEY AREAS, AS WELL AS ADDRESSES ANY OTHER QUESTIONS FROM THE COMMITTEE. FORM 990, PART VI, SECTION B, QUESTION 12C: PREMIER HEALTH (PREMIER), OF WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE, REQUIRES ALL BOARD MEMBERS, OFFICERS, EXECUTIVES, AND MANAGEMENT PERSONNEL TO ANNUALLY REVIEW THE PREMIER COMPREHENSIVE CONFLICT OF INTEREST STATEMENT, AN EXPLANATORY MEMORANDUM, THE ANTITRUST COMPLIANCE POLICY, AND COMPLETE AN INDIVIDUAL QUESTIONNAIRE DISCLOSING ANY POTENTIAL CONFLICTS AS DEFINED IN THE CONFLICT OF INTEREST POLICY. THIS IS ACCOMPLISHED WITH A MEMO SENT OUT ANNUALLY FROM THE CHAIRMAN OF THE BOARD AND CHIEF EXECUTIVE OFFICER OF PREMIER TO ALL BOARD MEMBERS, EXECUTIVE DIRECTORS, VICE PRESIDENTS, DIRECTORS, PURCHASING DEPARTMENT STAFF, AUTHORIZED PURCHASERS, MEDICAL DIRECTORS, DEPARTMENT AND SECTIONS CHAIRS, AND ALL EMPLOYED PHYSICIANS. IT INCLUDES AN EXPLANATORY MEMORANDUM OF SPECIFIC ACTIVITIES THAT MIGHT GIVE CAUSE TO A CONFLICT AND AN INDIVIDUAL QUESTIONNAIRE TO DISCLOSE ALL SUCH ACTIVITIES. THIS QUESTIONNAIRE MUST BE COMPLETED AND SIGNED BY THE INDIVIDUAL. THIS MEMO INCLUDES A COPY OF THE ANTITRUST COMPLIANCE POLICY THAT MUST BE SIGNED BY THE INDIVIDUAL. ALL OF THESE DOCUMENTS ARE SENT TO THE CORPORATE COMPLIANCE OFFICER. THE CORPORATE COMPLIANCE DEPARTMENT ENSURES ALL FORMS ARE RETURNED AND RETAINS THE DOCUMENTS FOR FIVE YEARS. IN ADDITION, AT EACH MEETING OF THE BOARD OR ANY BOARD COMMITTEE, FOLLOWING APPROVAL OF THE PREVIOUS MEETING'S MINUTES, THE BOARD COMMITTEE CHAIR SHALL REQUEST ANY BOARD MEMBER WHO PERCEIVES A POTENTIAL CONFLICT OF INTEREST ON ANY OF THE MEETING'S AGENDA ITEMS TO DISCLOSE THE POTENTIAL CONFLICT. ADDITIONALLY, AT ANY BOARD OR BOARD COMMITTEE MEETING WHERE THE SUBJECT OF CONFLICT OF INTEREST IS DISCUSSED, THE MINUTES SHALL CONTAIN THE NAME OF THE PARTY DISCUSSING A POTENTIAL CONFLICT OF INTEREST, THE NATURE OF THE POTENTIAL CONFLICT OF INTEREST AND WHETHER A CONFLICT OF INTEREST WAS FOUND TO EXIST. IF A CONFLICT OF INTEREST IS DETERMINED BY THE BOARD TO EXIST, THE MEMBER WILL BE EXCUSED FROM PARTICIPATING IN ANY DISCUSSION OR VOTING ON THE PARTICULAR AGENDA ITEM. THE CORPORATE COMPLIANCE OFFICER REPORTS THE RESULTS OF THE PREMIER CONFLICT OF INTEREST QUESTIONNAIRES NO LESS THAN ANNUALLY TO THE BOARD OF TRUSTEES BY WAY OF THE COMPLIANCE AND AUDIT COMMITTEE. THIS REVIEW IS DOCUMENTED IN THE MINUTES OF THE MEETING. PERIODICALLY, THE INTERNAL AUDIT DEPARTMENT WILL REVIEW A SAMPLE OF COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES AND REPORT THE RESULTS TO THE COMPLIANCE AND AUDIT COMMITTEE. THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES ARE INDIVIDUALLY SUMMARIZED IN A WORD DOCUMENT AND SENT ELECTRONICALLY TO THE FINANCE DEPARTMENT FOR ANY NECESSARY DISCLOSURES REQUIRED ON THE 990 TAX RETURN. FORM 990, PART VI, SECTION B, QUESTION 15A AND 15B: PREMIER HEALTH, OF WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE, FOLLOWS A MARKET BASED COMPENSATION PHILOSOPHY DESIGNED TO ATTRACT AND RETAIN THE EXECUTIVE TALENT REQUIRED TO MEET THE HIGH PERFORMANCE STANDARDS OF OUR BOARD AND OUR COMMUNITY. PREMIER ANNUALLY REVIEWS EXECUTIVE COMPENSATION SURVEY DATA FOR A REGIONAL PEER GROUP OF SYSTEMS AND HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO PREMIER AND ITS AFFILIATES. THE DATA FOR THE SURVEY IS PROVIDED BY A THIRD PARTY CONSULTANT GROUP THAT IS INDEPENDENT OF PREMIER. THIS REPORT INCLUDES COMPARABILITY FOR KEY EXECUTIVES, VICE PRESIDENTS, AND DIRECTOR LEVEL POSITIONS. THE INDEPENDENT COMPARABILITY DATA IS REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THIS COMMITTEE IS COMPRISED OF THREE MEMBERS, ALL OF WHICH ARE INDEPENDENT. THIS COMMITTEE REVIEWS IN DETAIL THE COMPENSATION FOR THE PREMIER CEO, COO, CFO, CHIEF STRATEGY OFFICER, AND THE HOSPITAL CEOS. OTHER POSITIONS ARE REVIEWED AT A HIGH LEVEL FOR REASONABLENESS. ALL THE MEETING MINUTES ARE DOCUMENTED AND KEPT ON FILE ALONG WITH ANY COMPARABILITY DATA AND THE CONSULTANT REPORT. AFTER THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION ACTIONS, THE PROCESS IS AUDITED BY THE INTERNAL AUDIT DEPARTMENT. THE EXECUTIVE COMPENSATION COMMITTEE PRESENTS THE COMPENSATION ACTIONS TO THE PREMIER BOARD ANNUALLY. FORM 990, PART VI, SECTION C, QUESTION 19: THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC WHEN REQUIRED BY LAW OR FOR ACCREDITATION PURPOSES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE COMPANY WEBSITE. FORM 990, PART XI, LINE 9: Pension Adjustment (41,901,354) Equity Transfers (30,990,776) Premier Plaza Transfer (18,855,137) Swap Amortization (181,708) Capital Donation 133,034 Dayton Development Adj 1,651,347 Funding from Foundation (2,239,211) Other (4) Total (92,383,809)	Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	DIALYSIS CENTERS OF DAYTON LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	110 N MAIN ST SUITE 500	AddressLine1
City	DAYTON	City
State	OH	State
ZIP Code	45402	ZIPCode

Field	Value	IRS element (for citing)
EIN	311607686	EIN
Primary Activities	DIALYSIS	PrimaryActivities
Legal Domicile State	OH	LegalDomicileState
Total Income	3682488	TotalIncome
EOY Assets	29157440	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MVH	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
PREMIER HEALTH
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311446699	SUPPRTG. ORG.	OH	501(C)(3)	11-1	NA	false
MEDAMERICA HEALTH SYSTEMS CORP (MAHS)
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311040228	PARENT	OH	501(C)(3)	11-1	NA	false
MIAMI VALLEY HOSPITAL FOUNDATION
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311040231	Foundation	OH	501(C)(3)	7	MAHS	true
PREMIER COMMUNITY HEALTH
601 W RIVERVIEW AVE	DAYTON	OH	45406	311122883	Health Educat	OH	501(C)(3)	7	MAHS	true
FIDELITY HEALTH CARE
3832 KETTERING BLVD	DAYTON	OH	45439	311075381	HOME HEALTH	OH	501(C)(3)	9	MAHS	true

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Premier Plaza LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	110 N Main St Suite 500	AddressLine1
City	Dayton	City
State	OH	State
ZIP Code	45402	ZIPCode

Field	Value	IRS element (for citing)
EIN	800708185	EIN
Primary Activity	Holding Company	PrimaryActivity
Legal Domicile State	OH	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MAHS	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	Excluded	PredominantIncomeType
Share Of Total Income	78190	ShareOfTotalIncome
Share Of EOY Assets	228603	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.01000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
MVHE INC
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311185270	PHYS SVCS	OH	MAHS	CORPORATION	0	0	0.00000	true
PREMIER HEALTH SPECIALISTS INC
110 N MAIN ST SUITE 500	DAYTON	OH	45402	061744704	PHYS SVCS	OH	MAHS	CORPORATION	0	0	0.00000	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	true	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	true	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (18 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
PREMIER PLAZA LLC
A-IV	833812	FMV
MIAMI VALLEY HOSPITAL FOUNDATION
C	2808892	CASH
MIAMI VALLEY HOSPITAL FOUNDATION
Q	733897	FMV
Premier Health Specialists Inc
G	459362	FMV
Premier Health Specialists Inc
H	980309	FMV
Premier Health Specialists Inc
J	75435	FMV
Premier Health Specialists Inc
M	2272703	FMV
Premier Health Specialists Inc
O	233016	FMV
Premier Health Specialists Inc
Q	6326491	FMV
Premier Health Specialists Inc
R	8120000	FMV
MVHE INC
J	55308	FMV
MVHE INC
M	153796	FMV
MVHE INC
O	257244	FMV
MVHE INC
Q	5449927	FMV
MVHE INC
R	2360699	FMV
MVHE INC
A-IV	30932	FMV
PREMIER COMMUNITY HEALTH
R	378000	FMV
MEDAMERICA HEALTH SYSTEMS
R	18896500	FMV